[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-108-2-medical-surgical-021":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":61},"內外科護理學","medical-surgical",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":11,"stem":12,"options":13,"answer":18,"answerNote":19,"images":20,"explanation":21,"explanationDeep":22,"topics":23,"freq":10},"nurse-108-2-內外科護理學-021","nurse-108-2-medical-surgical-021",108,2,21,"有關喉癌的臨床表徵，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"外生性喉癌易發生頸部淋巴轉移，造成頸部淋巴結腫大","外生性喉癌會有聲音嘶啞、喉部異物感","內生性喉癌早期症狀為吞嚥時發生喉痛、灼熱感","內生性喉癌好發於喉部真聲帶以外之其他部位","A",null,[],"本題考點在區分喉癌兩大類型的好發部位與轉移特性。依解剖分型,外生性喉癌即聲門上型,好發於會厭與假聲帶,此區淋巴引流豐富,故早期即易發生頸部淋巴轉移、造成淋巴結腫大,選 A。B 錯在把「聲音嘶啞、喉部異物感」歸給外生性;聲音嘶啞是聲帶受侵的表現,屬內生性聲門型的典型早期症狀。C 錯在敘述,內生性喉癌(聲門型)早期症狀是聲音嘶啞而非吞嚥喉痛灼熱,吞嚥痛較屬聲門上型。D 錯在部位,內生性喉癌正是好發於真聲帶,而非真聲帶以外部位。","口訣:聲門上(外生)先腫脖子、聲門(內生)先啞嗓子。聲帶本身淋巴引流稀少,故聲門型癌轉移晚、預後相對好,且聲音嘶啞使其早期即被發現;聲門上型淋巴網密集,常在原發灶尚小時已頸部轉移,確診時期別偏晚。臨床分期會據此決定頸部淋巴廓清範圍。可連結:喉部三分區(聲門上、聲門、聲門下)、頸部淋巴分區、聲帶麻痺與聲音嘶啞的關係。",[24,26,28,31],{"term":25,"count":10},"頸部淋巴轉移",{"term":27,"count":10},"聲音嘶啞",{"term":29,"count":30},"喉癌聲門上型與聲門型分類",1,{"term":32,"count":30},"喉部解剖分區",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-108-2-medical-surgical-022","冠狀動脈繞道手術後病人送至加護病房時，下列何種徵象必須立即通知醫師？",22,{"webId":39,"stem":40,"number":41,"year":42,"session":30},"nurse-109-1-medical-surgical-038","有關食道靜脈曲張藥物治療之敘述，下列何者錯誤？",38,109,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-109-2-medical-surgical-052","有關吸入性肺炎之臨床症狀，下列何者須立即處理？",52,{"webId":48,"stem":49,"number":50,"year":51,"session":30},"nurse-111-1-medical-surgical-010","有關肝硬化引起腹水機轉之敘述，下列何者正確？",10,111,{"webId":53,"stem":54,"number":55,"year":56,"session":30},"nurse-112-1-medical-surgical-054","有關病人的肺部身體評估，下列結果何者異常？",54,112,{"webId":58,"stem":59,"number":41,"year":60,"session":30},"nurse-113-1-medical-surgical-038","下列那些檢查前需要確認病人腎功能？①腎動脈攝影術 ②腎臟、輸尿管、膀胱X光檢查 ③腎臟超音波 ④逆行性腎盂攝影術 ⑤靜脈注射腎盂攝影術",113,"2026-09-04",1788510706352]